Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.20 / $229.00 / $433.08	Facility		$33.20	$229.00	$433.08
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.25 / $7.83 / $13.31	Facility	26	$7.25	$7.83	$13.31
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.37 / $25.37 / $313.52	Facility	TC	$25.37	$25.37	$313.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.48 / $33.20 / $128.25	Professional		$20.48	$33.20	$128.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.90 / $9.74 / $37.54	Professional	26	$6.90	$9.74	$37.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $29.68 / $259.50 / $259.50	Professional	50	$29.68	$259.50	$259.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $25.37 / $65.86	Professional	TC	$17.57	$25.37	$65.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.10 / $202.67 / $400.03	Facility		$118.10	$202.67	$400.03
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $6.33 / $6.33 / $6.33	Facility	26	$6.33	$6.33	$6.33
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $21.01 / $21.01 / $21.01	Facility	TC	$21.01	$21.01	$21.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.32 / $91.88 / $111.44	Professional		$55.32	$91.88	$111.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.40 / $22.25 / $26.98	Professional	26	$13.40	$22.25	$26.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.40 / $69.64 / $84.46	Professional	TC	$44.40	$69.64	$84.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.52 / $111.00 / $272.97	Facility		$65.52	$111.00	$272.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.17 / $25.71 / $63.21	Facility	26	$15.17	$25.71	$63.21
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $50.35 / $85.30 / $209.76	Facility	TC	$50.35	$85.30	$209.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.75 / $61.23 / $101.35	Professional		$31.75	$61.23	$101.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.25 / $14.18 / $23.93	Professional	26	$9.25	$14.18	$23.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.21 / $47.05 / $77.88	Professional	TC	$22.21	$47.05	$77.88
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $58.35 / $100.04 / $214.94	Facility		$58.35	$100.04	$214.94
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $13.51 / $23.17 / $49.78	Facility	26	$13.51	$23.17	$49.78
Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $44.84 / $76.88 / $165.16	Facility	TC	$44.84	$76.88	$165.16
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $48.21 / $57.07 / $97.33	Professional		$48.21	$57.07	$97.33
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $11.17 / $13.22 / $22.54	Professional	26	$11.17	$13.22	$22.54
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $37.04 / $43.85 / $74.79	Professional	TC	$37.04	$43.85	$74.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.54 / $74.16 / $259.83	Facility		$34.54	$74.16	$259.83
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $130.62 / $227.77 / $303.38	Facility	TC	$130.62	$227.77	$303.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.04 / $57.71 / $202.34	Professional		$31.04	$57.71	$202.34
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.35 / $18.38 / $66.59	Professional	26	$9.35	$18.38	$66.59
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.59 / $39.02 / $163.00	Professional	TC	$22.59	$39.02	$163.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.49 / $50.68 / $96.11	Professional		$29.49	$50.68	$96.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.30 / $14.24 / $25.31	Professional	26	$8.30	$14.24	$25.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.60 / $36.47 / $69.33	Professional	TC	$21.60	$36.47	$69.33